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NCT Number: NCT07298447

Donidalorsen Treatment in Children With Hereditary Angioedema

The purpose of this study is to evaluate the safety, tolerability and pharmacokinetics of donidalorsen in pediatric participants with hereditary angioedema (HAE) Type I (HAE-1) or Type II (HAE-2).

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Key information

About this study

This is an open-label study to evaluate the safety, efficacy, and pharmacokinetics (PK) and pharmacodynamics (PD) of donidalorsen in pediatric participants age 2 to less than 12 years old with HAE Type I (HAE-1) or Type II (HAE-2). The study consists of 3 parts: 1) a 3-month Screening Period, 2) a one-year Treatment Period, and 3) a 3-month Post-Treatment Period.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Must be between the ages of 2 and less than 12 years, inclusive, at the time of informed consent and, as applicable, assent.
  • Must weigh at least 9 kg at the time of informed consent and, as applicable, assent.
  • Documented diagnosis of HAE-1/HAE-2 based upon both of the following:
  • Documented clinical history consistent with HAE (SC or mucosal, non-pruritic swelling episodes without accompanying urticaria).
  • Diagnostic testing results that confirm HAE-1/HAE-2: C1-inhibitor (C1-INH) functional level <50% normal level AND complement factor C4 level below the lower limit of normal (LLN); OR a known pathogenic mutation in the SERPING1 gene.

Key Exclusion Criteria:

  • Must not have any screening laboratory abnormalities or any other clinically significant abnormalities during screening that would render a participant unsuitable for inclusion.
  • Must not have been treated with another investigational drug, biological agent, or device within 1 month of Screening, or 5 half-lives of investigational agent, whichever is longer.
  • Concurrent diagnosis of any other type of recurrent angioedema, including idiopathic angioedema or HAE with normal C1-INH (HAE-nC1-INH or Type III).

Note: Other protocol-specified inclusion/exclusion criteria may apply.

Treatment and study plan

Donidalorsen

Drug

Donidalorsen will be administered by subcutaneous (SC) injection.

Other names: ISIS 721744, IONIS-PKK-LRx

Primary outcomes

  1. Number of Participants with Treatment Emergent Adverse Events (TEAEs)

    Time frame: over the period of approximately 17 months

  2. Maximum Plasma Concentration (Cmax) of Donidalorsen

    Time frame: over the period of approximately 17 months

  3. Maximum Time to Reach Cmax (Tmax) of Donidalorsen

    Time frame: over the period of approximately 17 months

  4. Trough Plasma Concentration (Ctrough) of Donidalorsen

    Time frame: over the period of approximately 17 months

Secondary outcomes

  1. Time-Normalized Number of Investigator-Confirmed HAE Attacks (per Month)

    Time frame: over the period of 12 months

  2. Percentage of Investigator-Confirmed HAE Attack-free Participants

    Time frame: over the period of 12 months

  3. Time-Normalized Number of Moderate or Severe Investigator-Confirmed HAE Attacks (per Month)

    Time frame: over the period of 12 months

  4. Number of Participants with a Clinical Response Defined as a ≥ 50 Percent (%), ≥ 70% and ≥ 90% Reduction from Baseline in Investigator-Confirmed HAE Attack Rate

    Time frame: over the period of 12 months

  5. Time-Normalized Number of Investigator-Confirmed HAE Attacks Requiring Rescue Treatment

    Time frame: over the period of 12 months

  6. Change From Baseline in Prekallikrein (PKK) Levels in Plasma

    Time frame: over the period of 12 months

  7. Percent Change From Baseline in PKK Levels in Plasma

    Time frame: over the period of 12 months

  8. Changes in Pediatrics Quality of Life (PedsQL) Scores for Participants

    Time frame: over the period of 12 months

Study contacts

Contact information is provided by the study sponsor or research team.

Ionis Pharmaceuticals, Inc.

CONTACT

[email protected]

(844) 201-3192

Sponsors and collaborators

Lead sponsor

Ionis Pharmaceuticals, Inc.

Industry

Registry information

Official study title

An Open-Label Study of Donidalorsen in Pediatric Patients Age 2 to Less Than 12 Years Old With Hereditary Angioedema

Important dates

Study start
2026
Primary completion
2029
Study completion
2029
First posted
Dec 23, 2025
Registry last updated
May 28, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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